MSOA 2018

Endoscopic Inlay Butterfly Cartilage Tympanoplasty

Funda Tumkaya Bulent Aykal Cuneyt Kara Fazil Ardic
Otolaryngology, Pamukkale University

Background: Small, clean tympanic membran perforations is a common problem. Endoscopic surgery has been accepted as an efficient and minimal invasive method that can be used for treatment of these defects.

Objective: We used endoscopic inlay butterfly cartilage tympanoplasty technique for the treatment of small central perforations of tympanic membrane. Preoperative and postoperative surgical and audiological results were presented.

Methods: A total of 44 patients who had inlay butterfly cartilage tympanoplasty were included in the study. Dry, non-discharging ears were followed up for at least 2 months. The patients with an air-bone gap < 30 dB were selected for the surgery. Endoscopic inlay butterfly cartilage tympanoplasty technique was used. Mean preoperative and postoperative air thresholds were compared.

Results: The air- bone gaps of all patients improved in the postoperative period. The mean air-bone gap was 17.5 dB preoperatively, and it was found as 6.2 dB postoperatively. The surgical closure was complete in 41 of 44(93%) patients. Two patients had small perforations anterior to the cartilage graft and had fat tissue insertion in local anestesia. Ona patient had revision tympanoplasty. All patients had no problem in one year followup.

Conclusion: This technique is useful in treatment of tympanic membrane perforations in case of mild hearing loss (air- bone gap

Fazil Ardic
Fazil Ardic








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